MR. KRAIG AMUNDSEN


Address: 77 Chicago Ave, Staten Island, NY 10305-3757
Phone: 7184427828

MR. KRAIG AMUNDSEN (NPI# 1043706229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043706229
Entity Type Individual
Full Name MR. KRAIG AMUNDSEN
Practice Address 77 Chicago Ave
Staten Island
NY 10305-3757
Mailing Address 77 Chicago Ave
Staten Island
NY 10305-3795
Practice Telephone 7184427828
Mailing Telephone 7184427828
Enumeration Date 2018-07-10
Last Update Date 2018-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 77 CHICAGO AVE
City STATEN ISLAND
State NY
Zip Code 10305-3757

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700955267 Samantha Leigh Berman Social Worker 77 Chicago Ave, Staten Island, NY 10305-3757 2006-11-07
1285235788 Lara Halwani Social Worker 77 Chicago Ave, Staten Island, NY 10305-3757 2020-11-03
1649879412 Diana Aba Croffie Registered Nurse 77 Chicago Ave, Staten Island, NY 10305-3757 2020-10-22
1548890312 Wanda Eveliz Ginch Social Worker 77 Chicago Ave, Staten Island, NY 10305-3757 2020-01-21
1699312413 Darien Raggobeer Registered Nurse 77 Chicago Ave, Staten Island, NY 10305-3757 2019-12-01
1821649658 Voltaire Almeda Registered Nurse 77 Chicago Ave, Staten Island, NY 10305-3757 2019-09-23
1366926545 Rose Marie Bolella Social Worker 77 Chicago Ave, Staten Island, NY 10305-3757 2018-09-24
1477072213 Ilona Levina Student in an Organized Health Care Education/Training Program 77 Chicago Ave, Staten Island, NY 10305-3757 2017-09-13
1174046825 Elizabeth Argenziano Registered Nurse 77 Chicago Ave, Staten Island, NY 10305-3757 2017-07-24
1538600945 Nalini Jervis Social Worker 77 Chicago Ave, Staten Island, NY 10305-3757 2017-03-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972101517 Gina Sinchi Specialist 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 2020-10-15
1003436783 Ali Kassem Student in an Organized Health Care Education/Training Program 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 2020-04-22
1174183982 Mohammad Ass'ad Alshami Student in an Organized Health Care Education/Training Program 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 2019-06-14
1639632508 Abdullah Jahangir Student in an Organized Health Care Education/Training Program 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 2019-04-09
1922593813 Ifeyinwa Mary Asuzu Student in an Organized Health Care Education/Training Program 1 Edgewater Plaza Staten Island, New York, NY 10305 2018-06-25
1700377652 Celeste Jude Chow Speech-Language Pathologist 841 Father Capodanno Blvd, Staten Island, NY 10305 2018-05-27
1972094878 Mahmoud Shadi Student in an Organized Health Care Education/Training Program 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 2018-05-25
1396235131 Samyak Hiteshkumar Dhruv Student in an Organized Health Care Education/Training Program 475 Seaview Avenue, Staten Island, NY 10305 2018-05-17
1720583404 Michele Corrado Nurse Practitioner 27 Xenia St, Staten Island, NY 10305 2018-03-26
1861995912 Erika Renick Dietitian, Registered 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 2018-03-15
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104448489 Nicholas Ruggiero Student in an Organized Health Care Education/Training Program 136 Brook Ave, Staten Island, NY 10306-4420 2020-05-10
1740802024 Matthew Mathai Student in an Organized Health Care Education/Training Program 242 Livingston Ave, Staten Island, NY 10314-6932 2020-05-10
1710506027 Sini Bijoy Student in an Organized Health Care Education/Training Program 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 2020-04-16
1497374243 Isabelle Mulango Student in an Organized Health Care Education/Training Program 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 2020-04-12
1497374680 Bachar Botrus Student in an Organized Health Care Education/Training Program 355 Bard Ave Department of Medicine Villa Bldg 1st Fl, Staten Island, NY 10310-1664 2020-04-08
1174152839 Yvonne Hanna Student in an Organized Health Care Education/Training Program 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 2020-04-05
1588293591 Muhammad Shaheryar Haider Student in an Organized Health Care Education/Training Program 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 2020-04-02
1053950352 Victoria Lamberti Student in an Organized Health Care Education/Training Program 469 Lamont Ave, Staten Island, NY 10312-2817 2020-01-03
1376181412 Rayutte Blazer Student in an Organized Health Care Education/Training Program 146 Rupert Ave, Staten Island, NY 10314-5051 2019-12-19
1457999070 Sara I Genova Student in an Organized Health Care Education/Training Program 670 Manor Rd, Staten Island, NY 10314-4525 2019-12-13
Find all providers in STATEN ISLAND

Competitor

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City STATEN ISLAND
Zip Code 10305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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